Introduction to Common Complications of Pregnancy
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| show | *Unique to pregnancy. *Can occur at any time, but are complications when in conjunction with pregnancy
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| show | NO diagnostic test can guarantee the birth of a healthy baby
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| show | A full bladder
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| List the uses of ultrasounds for pregnancy: | show 🗑
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| show | 10 - 30 minutes
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| How is the PT positioned during an ultrasound? | show 🗑
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| show | Doppler Ultrasound Blood Flow Assessment
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| show | Alpha-fetoprotein (AFP)
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| What screening determines the level of this fetal protein in the pregnant woman's serum or in a sample of amniotic fluid? | show 🗑
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| What are elevated levels of Alpha-fetoprotein (AFP) associated with? | show 🗑
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| What are low levels of Alpha-fetoprotein (AFP) associated with? | show 🗑
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| What can influence AFP levels? | show 🗑
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| What is a procedure by which fetal tissues are analyzed to reflect the chromosomal and genetic makeup of the fetus and is used to identify chromosomal, metabolic or DNA abnormalities? | show 🗑
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| What are the types of chorionic villus sampling techniques? | show 🗑
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| show | The insertion of a thin needle through the abdominal and uterine walls to obtain a sample of amniotic fluid, which contains cast-off fetal cells and various other fetal products
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| show | 11 to 14 weeks’ gestation.
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| When most amniocentesis' performed? | show 🗑
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| Why are mid-trimester amniocentesis' done? | show 🗑
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| show | *Assess fetal lung maturity and whether the fetus is likely to have respiratory complications *help test for fetal hemolytic diseases when Rh incompatibility is suspected.
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| What does a non-stress test (NST) determine? | show 🗑
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| show | 40 minutes
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| What is a non-stress test (NST) used to identify? | show 🗑
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| What is used to confirm a nonreactive non-stress test (NST) findings? | show 🗑
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| show | An artificial larynx device is used to stimulate the fetus with sound; expected response is acceleration of the fetal heart rate, as in NST
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| show | Contraction Stress Test
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| When is Contraction Stress Testing conducted? | show 🗑
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| What test is used to determine how the fetal central nervous system reacts to hypoxemia and fetal acidosis? | show 🗑
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| What test involves the aspiration of fetal blood from the umbilical cord for prenatal diagnosis or therapy? | show 🗑
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| show | Maternal Assessment of Fetal Movement (Kick Counts).
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| show | Persistent, uncontrollable vomiting that begins before the 20th week of pregnancy
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| show | *Severe congenital abnormalities incompatible with life *Chromosomal defects account for about 50-60%
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| What are the six spontanious abortion sub-groups? | show 🗑
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| show | *Vaginal bleeding occurs *May be followed by rhythmic uterine cramping, persistent backache, or feelings of pelvic pressure.
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| show | Membranes rupture and cervix dilates
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| show | Some products of conception have been expelled, but some remain
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| show | Sexual activity
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| What is missed abortion? | show 🗑
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| What is recurrent abortion? | show 🗑
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| What are some causes of ectopic pregnancy? | show 🗑
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| show | *Abdominal pain *Vaginal spotting *Missed period *Ruptured tube symptoms
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| What percentage of ectopic pregnancies occur in the fallopian tube? | show 🗑
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| What is the medical management of an ectopic pregnancy with an unruptured tube? | show 🗑
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| What is the medical management of an ectopic pregnancy with a ruptured tube? | show 🗑
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| show | DIC is a life-threatening defect in coagulation that may occur with several complications of pregnancy
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| show | abruption placentae, incomplete abortion, hypertensive disease or infectious process. May occur if the fetus is retained for a prolonged period
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| What are the S/Sx of DIC (Disseminated Intravascular Coagulation) | show 🗑
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| show | *Correct cause *Administer blood products *Oxygen therapy (High flow) *Delivery ASAP
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| Define placenta previa: | show 🗑
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| show | *Marginal/low lying *Partial *Total
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| What are the manifestations of placenta previa? | show 🗑
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| show | premature separation of a normally implanted placenta from the uterine wall.
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| What is the point of viability of the fetus (survive outside of mother)? | show 🗑
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| show | *Chronic HTN or PIH *Cocaine *Premature rupture of membranes *Blunt abdominal trauma *Cigarretes *Prior Hx *Short umbilical cord
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| show | *Side lying position with wedge under right hip for uterine placental perfusion. *Preparation for immediate cesarean delivery. *Blood/fluid replacement: two large-bore IV lines should be placed
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